Class Enrollment Form

Class Enrollment

Complete the information below.
Owner Information
Your Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Your E-mail*
example@example.com
Where did you here about us?*
Is This Your First Dog Or Puppy
Dog / Puppy's Information
Dog/Puppy's Name*
Breed*
Age*
Gender*
My Dog Is*

SpayedNeuteredIntact
Is Shy With (check all that apply)*

Other DogsPeopleChildrenNoisesNew PlacesNot Shy
Acts Aggressive Towards (check all that apply)*

Other DogsStrangersChildrenDoes Not Act Aggressive
Has your dog bitten anyone?*
Has your dog been attacked by another dog?*
Has your dog been in a fight?*
Problem Behaviors (check all that apply)*

JumpingPulling On LeashChewingBitingOver ExcitedBarkingDiggingPotting In The House
Have You Taken Any Prior Dog Training Classes? If Yes Please List.
Please Provide Any Other Information You Feel Is Helpful.
Note: If your dog is fearful or reactive around other dogs or people, a group class might be too much for them. We recommend starting with a consultation with one of our trainers to discuss other training alternatives.
Veterinarian Information
Veterinarians Name? *
Clinic Name? *
Phone Number

Area CodePhone Number
Email
example@example.com
Note: Puppies must have at least one set of puppy vaccinations before allowed in class. Please provide proof of vaccination below.
Is Your Puppy Current On Vaccinations According To Your Veterinarian's Recommendation?*

YesNo
Please Upload Copy Of Current Vaccination Record here or bring to class

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CHOOSE YOUR CLASS BY CLICKING ON THE BOX

Puppy Preschool - Starts Wed JUNE 21st, 6:15 pm to 8$108.00

For Puppies 8 to 16 wks - 4 week class

Manners & More - Starts Thurs, JULY 20th, 11:15 am to 12 pm. $162.00

For Puppies 5 to 18 mths - 6 week class

Manners & More - Starts Thurs JULY 20th, 6:15 pm to 7pm.$162.00

For Puppies 5 to 18 mths -6 week class

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Total $0.00

Note: Please read and sign the waiver below then click "SUBMIT" to process your enrollment form. Once submited you will receive two emails. One lets you know we received your form, the other will have the address, instructions on what to bring and Puppy Start Up Packet. If you do not receive these please contact us at connie@caninetrainingadventures.com
AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK

By signing below I agree to and understand that attendance of a dog obedience training class is not without risk to myself, members of my family or guests who may attend, or my dog, because of some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.

I hereby waive and release Canine Training Adventures LLC/caninetrainingadventrues.com hereinafter referred to as the "Training Organization", its employees, officers, members and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function, of the Training Organization, or while on the training grounds or the surrounding area thereto.

In consideration of and as inducement to the acceptance of my application for training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members and agents from any and all claims, or claims by any member of any family or any other person accompanying me to any training session or function to the Training Organization, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.
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Class Enrollment

Owner Information

Dog / Puppy's Information

Veterinarian Information